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�ECTRICAL PERMIT AP�ICATION-
<br /> CITY OF EVERETl'PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 3202 Colb Ave .
<br /> BUILDING AREA(if resident1al,new construcflon,remodel,or addition) SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED I�DUPLEX C7 MULTI-FAMILY-#OF UN17S: 0 COMMERCIAL
<br /> USE OF BUILDING: Commercial Office
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<br /> CONTRACT PRICE OF WORK: $ 4895 .
<br /> NUMBER OF DEVICES If low volta e : 13 .
<br /> FIRE ALARM? ❑YES ❑NO
<br /> ASSOClATED BUILDING PERMIT# If a licable : '
<br /> DESCRtPTION OF WORK: Install 3 receptacles, 4 switches, 5 lights, 1 solenoid switch, and 13) data
<br /> locations with cabling -Job #53747
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<br /> OWNER NAME: TENANT NAME If Commercial : La�COPp
<br /> OWNER MAILING ADDRESS: STREET
<br /> O�TY STAFE ZIP
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: Pride Electric, �I1C.
<br /> CONTRACTQR ADDRESS: srR�ET 18133 N E 68th Street, D-120
<br /> �,TM Redmond ST,,,�WA � Z,P 98052
<br /> CO1dTRACTOR PHONE:4254543665 coNrw�►cro�eMa�: mbender@prideelectric.com
<br /> CONTRACTOR LIC.#(REQUlRED}; PRIDEEIO7TDR CI7Y OF EVERETT BUSINESS LIC.#RE4UIRED:027137
<br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR L�OTHEI�(Please Specify)
<br /> CONTACT NAME: CONTAC7 PHONE: �2rj-454-3665
<br /> Matt Bender coNTacr eMA��:mbender prideelectric.cam
<br /> AQREEMENT.•I hereby cert/fy fhat!have read and examined this applkaUon and know the same to be true and cmrrect, All provisJons of/ews and ord/nances go�eming thls type
<br /> of work w1B be completed whether speclf�ed herein or not The grant/ng of a permlt does not presume to glve authorlry to Wolate or cancel!he provlslons of any other state ar
<br /> /oca/!aw regutating constructlon or the pertormance of constructlon. 7hat I am aufhorized by the owner of this properfy to perform the work for whlch applfcat/on!a made and I
<br /> comp/y wlth the State Contractors Law 18.27 RCW and 296.200 WAC, ,;
<br /> Clty of Everett ONlclal Use Only
<br /> PERMIT#
<br /> ��/2v��� E �'I 12� I �o
<br /> OwnerlA hoii d Agent Signature Date (Revtsed 9/23/2016)
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